FP13.6 Lesser Trochanter Resection for Ischiofemoral Impingement Syndrome: A Systematic Review of Surgical Approaches and Outcomes

Clicks: 11
ID: 330930
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Star

Ranked #171 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract ICLB13 - Outside the Joint: Mastering Extra-Articular Pain and Hip-Spine Basics, Session Room 6 (BMCC Level 3), October 9, 2026, 14:00 - 16:00 Background Ischiofemoral impingement (IFI) is a rare cause of hip and deep gluteal pain resulting from an abnormally narrow space between the ischial tuberosity and the lesser trochanter, which compresses the quadratus femoris muscle and sometimes the sciatic nerve. Nonsurgical management is first-line, but persistent IFI can severely limit function, necessitating surgical intervention. Lesser trochanter resection, via open or endoscopic techniques, has emerged as a surgical solution to increase the ischiofemoral space and relieve impingement in refractory cases. Purpose To systematically review the outcomes of lesser trochanter resection for IFI. Study Design Systematic review Methods A comprehensive literature search of PubMed, Embase, and Medline (1977–present) was conducted following PRISMA guidelines. Inclusion criteria were English-language human studies (≥16 years old) with clinical and radiologic IFI treated by surgical resection/osteoplasty of the lesser trochanter. Data on study design, surgical approach, patient-reported outcomes, complications, and recurrence were extracted and analyzed qualitatively. Results A total of 14 studies (primarily Level IV case series and reports) met the inclusion criteria. Open trochanteric resections were mainly reported in early cases, whereas recent literature predominately describes endoscopic resections. All studies demonstrated significant pain relief and functional improvement after lesser trochanter resection. Outcome measures used in the different reports improved significantly. Endoscopic techniques reliably increased the ischiofemoral space and alleviated impingement signs, with no long-term hip flexor weakness reported when partial resection preserved some iliopsoas attachment. Overall complication rates were low. No neurovascular injuries were noted, and there were no cases of avascular necrosis. Rare complications included one report of a postoperative proximal femoral stress fracture and isolated instances of persistent impingement requiring revision. Conclusion Lesser trochanter resection is an effective and safe surgical option for IFI, yielding consistent pain reduction and functional gains in patients who do not respond to conservative therapy. While current evidence is limited to small case series, the results support lesser trochanter resection as a valuable intervention to expand the ischiofemoral space and resolve impingement.
Reference Key
openalex_W7220361467 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Czr Decloedt Cedrick Abrogena
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.102
URL
https://doi.org/10.1093/jhps/hnag043.102
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.